• Keeping all the parts of an equation in your memory while you calculate it
  • Reading and remembering what you read
  • Problem-solving
  • Sequencing a task, that is performing the various steps of a task in a certain order
  • Focusing on the task at hand, without being distracted by irrelevant stimuli
  • Planning, organizing and structuring your daily life
  • Remember instructions about WHAT to do next (i.e. keeping a recipe or driving directions in your head while trying to follow through)

What is the process of training with Dr. Holifield?
The following sequence will occur during the training process:


1. Initial interview: (Face-to-Face Meeting) Dr. Holifield makes a judgment whether the trainee is a suitable candidate for training or not. The trainee/ caretaker of the trainee gets the information needed to be able to decide whether or not they are ready to commit to Cogmed training. This may typically take about 1 to 1 ½ hours to complete, depending on the concerns.

2. Start-up session: (Face to Face Meeting) Dr. Holifield plans and structures the training together with the trainee and training aide. The Start-up session will likely take 90-120 minutes of time as there are many things to cover.
   a.  Discuss working memory
   b.  Presentation of the program
   c.  Discuss and develop 3 training Goals
   d.  Establish a weekly Reward system and long-term reward
   e.  Plan the training
   f.  Provide the trainee and trainee aide with a user ID and Password (printed copy for both)
   g. Show the Cogmed Coaching Center
   h. Fill out questionnaire and rating scales (Baseline Ratings)
   i.  Allow the trainee to begin several activities in the office under supervision

Weekly Coach Meetings: (Phone Meetings or Google Hangout Video Calls) Meeting between the Cogmed Coach, training aide, and trainee. There will be 5 scheduled meetings throughout the training period.
   a.  Five times throughout the training Dr. Holifield will hold a meeting with the trainee and the training aide to talk about how the training is progressing. It is always good to have a time set in advance every week. The purpose of this meeting is to encourage and reinforce both the trainee and training aide.  It is also a follow-up to check that the trainee is doing his/her training as planned and that the training plan is working. A regular meeting makes it possible to address any motivation concerns or scheduling concerns that may impact performance. It is also an excellent opportunity to problem solve around training.
   b. Schedule Wrap-Up Session-1 month after last training week.

Wrap-up session: (Face to Face Meeting) After the last training session is complete a Wrap-Up Session will occur where the Dr. Holifield summarizes the training together with the trainee and training aide and gives feedback from rating scales and the Cogmed Coaching Center.
   a. Extension Training can be offered-
           i.100 sessions-15 minutes per blocks for 1 year (4 exercises)
           ii.No coaching offered-but can be discussed in 6 month Follow-Up Session

   b. Schedule Post Ratings with Parent
   c. Written Cogmed Report will be provided-
          i.Report provided to parent summarizing progress, pre-and post-ratings
          ii.Report designed to be a communication tool to assist other clinicians working with the trainee.

Follow-Up Session- (Phone Contact)-Dr. Holifield will call roughly 6 months following the last training session and talk with the trainee or trainee aide about the 3 goals. This will be about a 20-30 minute interview.
   a. Extension Training can be offered or follow-up  (At No Additional Cost)
   b. Extension Training Plus can be offered- Additional Cost for on-going unlimited use.

This intervention is designed to assist someone who may have deficits in working memory. Working memory is defined below:
Working memory is the cognitive function responsible for keeping information “online”, manipulating it, and using it in your thinking. Put differently, working memory is the cognitive system that provides temporary storage of information in the course of complex cognitive activities.

Cogmed™ Working Memory Training

Cogmed™ is suitable for almost anybody, from the ages of four and up that want to improve their working memory. Cogmed™ is not a computer “game” but a training program. It is considered to be an intervention guided by a trained professional and not a software program for occasional personal use.


Cogmed™ Training is about improving working memory, leading to better attention and everyday cognitive functioning. The effect has been shown in people of all levels of starting working memory capacity. It is important to note that “poor” working memory is a highly individual metric: what can be considered a sufficient or “typical” working memory capacity for an individual will depend on factors such as age but also on the demands put on the person in his/her daily life. Below are examples of working memory skills:

  • Remembering instructions about what to do next as you are doing another task
  • Keeping all the parts of an equation in your memory while you calculate it
  • Reading and remembering what you read
  • Problem-solving
  • Sequencing a task, that is performing the various steps of a task in a certain order

Appointments:

805-305-4229

​drholifield@hpspsych.org


What results are likely after using Cogmed™?
There has been an extensive amount of research conducted using Cogmed™. There have been over 60 published studies of Cogmed™ in peer-reviewed journals with different age-groups and with a variety of groups who present with reading problems, ADHD, concussion, TBI, etc. Thus, Cogmed ™is considered an evidence-based intervention for working memory based on solid research. The gist of the research findings is summarized below:

After having completed their working memory training, children, adolescents and adults say that they find it easier to concentrate, experience improved stamina when performing mentally demanding tasks, are more successful in school-related tasks, and that they find it easier to remember things. 
 
Parents of children and adolescents who have completed working memory training describe them as more independent and with an improved ability to pay attention. Parents often report that their children are able to communicate better and are generally more focused than they were before the training.  

Teachers who come in contact with students who have completed Cogmed™ Working Memory Training recount that these students are calmer and pay more attention after the training. They also report that their interest in schoolwork has increased and that their test scores improve. 

80% of the people who have completed the training notice results after they have finished the online program. Examples of these effects after the training are improved concentration and the ability to remember instructions. There has also been reported findings for academic gains in reading comprehension and improved mathematical abilities are examples of these training effects.

Is Working Memory Training for Everyone?
Although 80% of individuals who have completed the training notice improvements after completion of the online program, still 20% do not report improvements. Many factors can impact outcomes of long-term performances including the motivation of the trainee as well as timing and scheduling issues during a busy week or extended vacation. Children and adults who have severe cognitive deficits that impact problem-solving may not be appropriate candidates for this training. The training environment is also important. Individuals need to have a “distraction-free” block of time and in a space that is also free from distractions. When performing the training, it needs to be in a quiet place away from pets, children, T.V., internet, and music.

How much time is expected for training?
After the Initial Interview, Dr. Holifield will decide which training program may be best suited for you and your training needs. The decision is based upon the trainee’s time, schedule, and other factors. Examples of training schedules are listed below:

What is Working Memory?

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